Enterocele Presenting as Anterior Rectal Prolapse: Resolution with Vaginal Repair

Towers, Geoffrey D.; Benoit, Candace; Maxwell, Rose; Yaklic, Jerome L.

doi:10.1155/2020/1796365

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…There are no established standard surgical treatment approaches for this rare condition. It is equally important to note that even for isolated enterocele or isolated rectal prolapse, there is not consensus on preferred surgical method [ 2 , 6 , 9 ]. When considering surgical management of any pelvic floor defect, several points must be considered: the repair of the defect, the symptoms the repair targets, and repair durability [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Transrectal enteroceles manifesting with rectal prolapse are exceptionally rare and very few cases have been reported. Considering how infrequently this condition is encountered, there is no established standard surgical treatment, although one case report utilized laparoscopic anterior rectopexy, while another utilized transvaginal reconstructive surgery [ [4] , [5] , [6] ]. The majority of enteroceles are not detected on physical exam and require dynamic imaging of the pelvic floor to detect their presence.…”

Section: Introductionmentioning

confidence: 99%

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Enterocele manifesting as recurrent anterior rectal prolapse: A case report

Patel

Miller

Heisler

2021

International Journal of Surgery Case Reports

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Highlights There should be a low threshold to complete dynamic imaging for anorectal pathology. Defecography is particularly useful to identify enteroceles presenting as prolapse. Surgical approaches to rare pelvic floor defects must be individualized. Consult Urogynecology or Colorectal surgery for management of pelvic floor defects.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Enterocele manifesting as recurrent anterior rectal prolapse: A case report

Patel

Miller

Heisler

2021

International Journal of Surgery Case Reports

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“…Intestinal prolapse or enterocele involves herniation of the small intestine into the vaginal canal, creating a bulge. Most enteroceles develop downward between the uterosacral ligaments and the rectovaginal or vesicovaginal space ( 1 ). While the precise etiology of abdominal cavity content protrusion into the vagina has not been fully established, increased intra-abdominal pressure is a likely underlying factor.…”

Section: Introductionmentioning

confidence: 99%

Complicated enterocele: timely resolution with bowel resection via a vaginal approach: case report

Abis,

Madeddu,

Magro Malosso

et al. 2023

Front. Surg.

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BackgroundEnterocele is an uncommon, serious condition that requires accurate and early diagnosis to prevent complications such as intestinal obstruction, incarceration, and strangulation, with consequent intestinal ischemia, necrosis, and evisceration. We report a rare case of a patient with a voluminous enterocele and initial signs of intestinal ischemia who underwent urgent vaginal surgery.Case descriptionAn 80-year-old woman presented with a voluminous mass protruding from the vagina, associated abdominopelvic pain, a 10-day history of bowel sub-occlusion, and numerous episodes of profuse vaginal bleeding. She was diagnosed with an enterocele with early signs of complications. Owing to her advanced clinical condition and comorbidities, we opted for an urgent vaginal procedure. Intestinal loops with initial signs of ischemia were resected via a transvaginal approach, leading to good clinical outcomes. She was discharged on postoperative day 5.ConclusionsThis rare case highlights a surgical emergency that was managed with transvaginal resection of the intestine. Early identification of the initial signs of complications allowed for this less invasive approach, resulting in reduced morbidity and length of hospital stay.

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Literature review, surgical decision making algorithm, and AGREE II‐S comparison of national and international recommendations and guidelines in pelvic organ prolapse surgery

Pecorella,

Morciano,

Sparic

et al. 2024

Intl J Gynecology & Obste

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The average lifespan has increased over time due to improvements in quality of life, leading to an aging population that stays healthy for longer. Pelvic organ prolapse (POP), whether uterine or vaginal, is a problem that severely impairs quality of life and imposes significant restrictions. The present study provides the reader with a summary of the many surgical techniques used in POP surgery, comparing international guidelines, offering an algorithm that is simple to understand, and allows the reader to quickly choose the table that includes the best surgical therapy for each individual. Using relevant keywords, the writers searched the PubMed and Scopus databases for relevant publications from 2000 to April 2023. Studies with cases of oncologic disorders or prior hysterectomy performed for another reason were not included in the analysis. Ten distinct international guidelines are highlighted and examined in the present study. We used the Appraisal of Guidelines for Research and Evaluation II‐S (AGREE II‐S) method to assess their quality, and incorporated the results into the conclusion. Worldwide, anterior colporrhaphy is the preferred method of treating anterior compartment abnormalities, and mesh is virtually always used when recurrence occurs (which happens in about half of the cases). Worldwide, posterior colporrhaphy is commonly used to repair posterior compartment abnormalities. Only a few national guidelines (the Iranian guideline, Acta Obstetricia et Gynecologica Scandinavica [AOGS], and the German‐speaking countries) permit the use of mesh or xenograft in cases of recurrence. There is agreement on the abdominal approach (sacrocolpopexy) with mesh for treating apical deformities. Sacrospinous‐hysteropexy is the standard method used to guide the vaginal approach; mesh is typically used to aid in this process. There are just three recommendations that do not include vaginal operations: HSE, AOGS, and Iran. Of obliteration techniques, colpocleisis is unquestionably the best. In conclusion, our analysis highlights the significance of customized methods in POP surgery, taking into account the requirements and preferences of each patient. To choose the best surgical therapy, criteria and patient features must be carefully considered.

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Enterocele Presenting as Anterior Rectal Prolapse: Resolution with Vaginal Repair

Cited by 4 publications

References 7 publications

Enterocele manifesting as recurrent anterior rectal prolapse: A case report

Enterocele manifesting as recurrent anterior rectal prolapse: A case report

Complicated enterocele: timely resolution with bowel resection via a vaginal approach: case report

Literature review, surgical decision making algorithm, and AGREE II‐S comparison of national and international recommendations and guidelines in pelvic organ prolapse surgery

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